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Man Ther. 2011 Apr;16(2):148-54. doi: 10.1016/j.math.2010.09.001. Epub 2010 Oct 16.

Manual or exercise therapy for long-standing adductor-related groin pain: a randomised controlled clinical trial.

Author information

1
The Hague Medical Centre, Antoniushove Hospital, Department of Sports Medicine, Burgemeester, Leidschendam, The Netherlands. a.weir@mchaaglanden.nl

Abstract

HYPOTHESIS:

A multi-modal treatment program (MMT) is more effective than exercise therapy (ET) for the treatment of long-standing adductor-related groin pain.

STUDY DESIGN:

Single blinded, prospective, randomised controlled trial.

METHODS:

PATIENTS:

Athletes with pain at the proximal insertion of the adductor muscles on palpation and resisted adduction for at least two months.

INTERVENTIONS:

ET: a home-based ET and a structured return to running program with instruction on three occasions from a sports physical therapist. MMT: Heat, Van den Akker manual therapy followed by stretching and a return to running program.

PRIMARY OUTCOME:

time to return to full sports participation.

SECONDARY OUTCOME MEASURES:

objective outcome score and the visual analogue pain score during sports activities. Outcome was assessed at 0, 6, 16 and 24 weeks.

RESULTS:

Athletes who received MMT returned to sports quicker (12.8 weeks, SD 6.0) than athletes in the ET group (17.3 weeks, SD 4.4. p = 0.043). Only 50-55% of athletes in both groups made a full return to sports. There was no difference between the groups in objective outcome (p = 0.72) or VAS during sports (p = 0.12).

CONCLUSIONS:

The multi-modal program resulted in a significantly quicker return to sports than ET plus return to running but neither treatment was very effective.

PMID:
20952244
DOI:
10.1016/j.math.2010.09.001
[Indexed for MEDLINE]

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